PCN Operations and CQC Compliance Administrator

Job description

Job responsibilities

Primary Responsibilities

The following are the core responsibilities of PCN Operations and CQC Compliance Administrator. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as the needs of the organisation, workload and staffing levels.

Operational and administrative:

• The day-to-day operations of the hubs/sites ensuring staff achieve their primary responsibilities.
• Overseeing the administrative elements of QOF and other performance targets, liaising with GPs, nursing staff and administrators. Working with other managers within the executive team.
• Supporting/managing specific hub sections within TLCP.
• Liaise closely with the practices to help understand the impact of PCN activities on practices in order to assist the Board to meets its objectives and to ensure coherence across the PCN
• Provide relevant support to the clinical support manager, clinical managing partner, and Board as the PCN evolves in meeting its contractual obligations
• To assist in measuring and achieving PCN performance against all service specifications and objectives. This includes (but is not limited to):
• QOF
• Investment and Impact Fund
• Quality Improvement projects/Audits
• Enhanced Access
• Population Health Management
• Personalised Care
• Anticipatory Care
• Social Prescribing
• Attend and contribute to all relevant meetings both internally and externally.
• Ensure best practice is followed in maintaining both professional and clinical standards.
• Co-ordinate training and development of PCN staff
• Collate feedback / analysis data for reporting requirements

Support Managers and staff to understand performance and implement changes to policy and practices

• To develop and support systems to understand performance within the organisation.
• To support staff to utilise the systems so they are able to understand how they are performing and demonstrate how they are the best at getting better across the organisation
• Signpost staff to guidance and advice on policies and CQC standards
• Create and ensure the most up to date unified policies and associated documents (e.g. Staff Handbook) are accessible and used appropriately across the organisation
• Promote and share best practice across care and support
• Undertake and support quality development workshops as required
• Take responsibility for organisational projects and/or functions as agreed with the Line Manager, Board or Care First.

Undertaking compliance audits

• Oversee a programme of audits and surveys that support and evidence measures of improvement (e.g. complaints, significant events, patient surveys)
• Co-ordinate an annual audit and quality assurance visit schedule in collaboration with Line Manager (e.g. Infection control, CQC preparedness template)
• Undertake pre-audit research and collate data to prepare for audits and identify areas of interest
• Undertake Quality and Compliance Audits in line with regulatory, contractual and organisational requirements (e.g. mock CQC)
• Record, analyse and report findings from audits and quality reviews
• Produce SMART action plans in line with audit and review findings, supporting company-wide continuous improvement
• To raise safeguarding or serious non compliance and risk issues to the Line Manager and Care First team immediately
• Support Managers and staff, where reasonably practicable, with local authority, CQC, quality monitoring visits and returns as directed

Co-ordinating learning and development of staff

• Support and champion the development of good quality plans that deliver relevant change and improvement projects which can be both measured and evaluated.
• Source appropriate training providers and evaluate their performance to ensure they meet the learning and development needs of TLCP staff.
• Ensure learning opportunities meet the requirements of CQC standards
• In association with the Site Managers, ensure all staff are up to date with training to meet compliance with CQC
• Audit and ensure all TLCP staff training records are up to date
• Work with sites as identified by Care First to identify areas of common concern or potential for collaborative working to improve the resilience of TLCP.
• Identify any risks and barriers and work to mitigate or overcome these where possible
• Co-ordinate resources in order to formulate, mobilise and ensure the ongoing implementation of plans to agreed specifications
• Ensure that plans are adequately monitored and on schedule and that this information is appropriately communicated to relevant stakeholders
• Use business intelligence systems and data to produce documents, reports and presentations on a regular basis for various meetings, distilling complex information and presenting it in an accessible and understandable way to a range of audiences
• Share and enable the adoption of best practice across the sites and provide coordinated and cohesive support in its delivery
• Organise TLCP events based on the audit/performance outcomes.

Digital Transformation

• Supporting the management of the clinical system, ensuring IT security and IG compliance at all times and responding to and resolving local IT issues Working with the TLCP Digital transformation lead, IT manager and other colleagues
• Providing support to the digital transformation lead
• Support the digital and transformation lead to adopt and/or optimise of new technology and other initiatives to improve patient care and enabling PCN staff to work more effectively to support the sustainability of general practice services

Workforce:

• To be the first point of admin contact for the PCN employed staff
• To assist in the recruitment of PCN Additional Roles Reimbursement Scheme (ARRS) staff, and other relevant roles, to include onboarding, induction, and organising training
• Support Induction of staff
• Update and manage the induction pack, liaising with surgeries to coordinate inductions

Relationship Management:

• To take an active role in the development and embedding of the TLCP culture, values and reputation as providers of high-quality services.
• Encourage supporting staff to collaborate through sharing information and intelligence across different activities.
• Build good relationships with all stakeholders involved in TLCP.

Secondary Responsibilities

In addition to the primary responsibilities, PCN Operations and CQC Compliance Administrator may be requested to undertake other responsibilities within TLCP/PCN.

• Act as the primary point of contact for NHS(E), ICS/ICB, community services, suppliers and other external stakeholders in the absence of the practice manager
• Support the clinical support manager change initiatives
• Manage asset registers as directed by the TLCP
• Represent the practice locally as required
• Maintain a working knowledge of ICS/ICB initiatives

Person Specification

Skills

Essential

• Excellent communication skills (written, oral and presenting)
• Strong IT skills (generic)
• Ability to prioritise, delegate and work to tight deadlines in a fast-paced environment
• Effective time management (planning and organising)
• Ability to network and build relationships
• Proven problem solving and analytical skills
• Ability to implement and embed policy and procedure
• Ability to motivate and train staff

Desirable

• Ability to recognise opportunities to enhance service delivery
• Excellent leadership skills
• Strategic thinker and negotiator
• EMIS or other Primary Care clinical system skills

Personal Qualities

Essential

• Polite and confident
• Flexible and cooperative
• Excellent interpersonal skills
• Motivated and proactive
• Ability to use initiative and judgement
• Forward thinker with a solution focused approach
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure
• Confident, assertive and resilient
• Ability to drive and deliver change effectively
• Ability to motivate teams, enhance morale and maintain a positive working environment, including team building sessions

Qualifications

Essential

• Good standard of education with excellent literacy and numeracy skills
• Educated to A-level/equivalent or higher with relevant experience

Desirable

• Leadership and/or management qualification
• Project Management Skills

Other Requirements

Essential

• Flexibility to work outside core office hours
• Disclosure Barring Service (DBS) check
• Maintain confidentiality at all times

Desirable

• Full UK driving licence

Experience

Essential

• Experience of working with the general public
• Experience of working in a healthcare setting
• Experience of carrying out audits and presenting results

Desirable

• Experience of managing multidisciplinary teams
• Experience of performance management, including appraisal writing, staff development and disciplinary procedures
• Experience of successfully developing and implementing projects
• NHS/ Primary Care general practice experience
• Relevant health and safety experience
• Strong Knowledge and awareness of CQC and its requirements to be compliant

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

The Lewisham Care Partnership

Address

56 - 60 Loampit Hill

London

SE13 7SX

Employer's website

https://www.thelewishamcarepartnership.co.uk/ (Opens in a new tab)